Organization Active NPI

Josh Thompson MD PLLC

  • Internal Medicine Physician
  • Oneida, TN
National Provider Identifier
1902498181
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOSH THOMPSON MD PLLC
Practice address
17941 Alberta St
Oneida, TN 37841-3921
Phone
(423) 569-7750
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Thompson, MD
Title
Sole Member
Phone
(423) 569-7750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

17941 Alberta St
Oneida, TN 37841-3921

Mailing address

17941 Alberta St
Oneida, TN 37841-3921
Phone (423) 569-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210713001719 TN Part B Supplier - Clinic/Group Practice 3375945306 Receives reassigned benefits from 2 practitioners
Practice locations: Oneida, TN
O20220607000868 TN Part A Provider - Rural Health Clinic 3375945306 Practice locations: Oneida, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902498181. Details of each certification follow.

Rural health clinic certification: CCN 883932

Legal name
JOSH THOMPSON MD PLLC
Doing business as
THOMPSON MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 31, 2023
Last certification
Jan 31, 2023
Ownership / control type
1A
Organization structure
LLCProprietary
Enrollment address
17941 Alberta St
Oneida, TN 37841-3921

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2223696Josh Thompson MD, PLLC17941 Alberta Street, Oneida, TN 37841ComplianceSep 12, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Thompson Individual 5% Or Greater Direct Ownership InterestPresident Oct 6, 2020 100%
Corporate OfficerPresident Oct 6, 2020 100%
Operational/Managerial ControlPreseident Oct 6, 2020 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1902498181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17941 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378413921",
            "telephone_number": "423-569-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17941 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378413921",
            "telephone_number": "423-569-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSH THOMPSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "423-569-7750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

Verify at the official NPI Registry.